32D1027520 CLIA NUMBER - INTERIM HEALTHCARE OF CLOVIS

Laboratory Demographics

CLIA Number: 32D1027520

Facility Name: INTERIM HEALTHCARE OF CLOVIS

Facility Address:
2300 NORTH MAIN STREET STE 19A
CLOVIS, NM
ZIP 88101
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Facility Phone Number: 575 769-0049

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1134174063

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	32D1027520
LAB Type	Home Health Agency
Facility Name	INTERIM HEALTHCARE OF CLOVIS
Street	2300 NORTH MAIN STREET STE 19A
City	CLOVIS
State	NM
ZIP	88101
Phone	575 769-0049
CertificateType	4
CertificateEffectiveDate	7/1/2022
CertificateExpirationDate	6/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024